When is heel redness concerning?
Redness that persists after pressure has been relieved can be an early sign of pressure damage, particularly over the bony part of the heel.
What other skin changes matter?
- dark red, purple or blue discolouration;
- blistering;
- broken or weeping skin;
- unusual warmth or coolness;
- swelling;
- hard or unusually soft areas.
Does pain always occur?
No. People with reduced sensation may develop tissue damage without significant pain, which is why visual skin checks are important.
Who is at higher risk?
Risk is increased by limited mobility, long periods in bed or seated, reduced sensation, diabetes, poor circulation, frailty and previous pressure damage.
Should a heel protector be placed over broken skin?
The management of broken skin should follow a professional wound or pressure-care plan. A protector may be part of that plan, but it should not be used as a substitute for assessment.
What if the heel becomes cold or unusually discoloured?
A cold, pale, blue or markedly discoloured foot can indicate a circulation problem and should be assessed promptly.
Important: Do not massage persistently red or damaged heel skin. Remove avoidable pressure and seek appropriate clinical assessment.
